Organization Active NPI

Jose R Hernandez MD PSC

  • Specialist
  • San Juan, PR
National Provider Identifier
1235141920
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4048 Issued in PR
Legal business name
JOSE R HERNANDEZ MD PSC
Practice address
369 Calle de Diego
Torre San Francisco Suite 609
San Juan, PR 00923-3003
Phone
(787) 413-5849
Fax
(787) 282-8709
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jose R Hernandez, M.D.
Title
President
Phone
(787) 413-5849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4048 PR Primary

Addresses

Primary practice location

369 Calle de Diego
Torre San Francisco Suite 609
San Juan, PR 00923-3003

Mailing address

PO Box 361103
San Juan, PR 00936-1103
Phone (787) 413-5849

National Provider Directory

National Provider Directory

Locations

369 Calle de Diego
Ste 609
San Juan, PR 00923
Phone (787) 413-5849

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1235141920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361103",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009361103",
            "telephone_number": "787-413-5849",
            "fax_number": "787-282-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO",
            "address_2": "TORRE SAN FRANCISCO SUITE 609",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233003",
            "telephone_number": "787-413-5849",
            "fax_number": "787-282-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE R HERNANDEZ MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-413-5849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "4048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.